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Louisiana rates for HCPCS L5639

Addition To Lower Extremity Below Knee Wood Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.29 / $772.05 / $1,096.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.69 / $772.05 / $1,118.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,171.27 / $2,000.95 / $2,812.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.77 / $955.43 / $955.43
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.50 / $870.50 / $870.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.47 / $870.50 / $870.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.56 / $697.79 / $1,034.53